Ajay S Gupta, MD | |
7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
(260) 436-2416 | |
(260) 436-9662 |
Full Name | Ajay S Gupta |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 44 Years |
Location | 7956 W Jefferson Blvd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487651873 | NPI | - | NPPES |
0839507 | Medicaid | OH | |
100258670 | Medicaid | IN | |
4596849 | Medicaid | MI | |
130023781 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 01037375A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Dupont Hospital Llc | Fort wayne, IN | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Dekalb Health | Auburn, IN | Hospital |
Bluffton Regional Medical Center | Bluffton, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allied Physicians Inc | 5193625846 | 18 |
Allied Physicians Inc | 5193625846 | 18 |
Entity Name | Allied Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366433369 PECOS PAC ID: 5193625846 Enrollment ID: O20040422000314 |
Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
Mailing Address | Practice Location Address |
---|---|
Ajay S Gupta, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Ajay S Gupta, MD 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 436-2416 |
Rajesh Verma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-460-1425 | |
Kevin L. Murphy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8034 | |
Dr. Marlene Clare Bultemeyer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662 | |
Dr. Ahmed Zakria Youssef Elmaadawi, M.D., Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8024 | |
Larry H. Lambertson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 | |
Dr. Geeta B Bisht, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804 Phone: 260-432-5181 Fax: 260-432-5692 | |
Don A Marshall Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3010 E State Blvd, Sutie 100, Fort Wayne, IN 46805 Phone: 260-471-0632 Fax: 260-471-3451 |